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231736_20240110_CFI_0000233080Client: Project: Technician: Date: Weather: 1471 ST RT 9 LLC 1471 ST RT 9, Lake George NY Cloudy Wednesday, January 10, 2024 Michael Daigle Client Rep.:Russ Faden Temperature: AM 40-50 °F20-32 °F PM Arrival Time: 2:30 PM 12:30 PM Project Number: Contractor: Contractor Rep.: 231736 JD Boucher Enterprise Jeff Boucher Departure Time: Concrete Field Report (ASTM C31, C143, C231 or C173, C1064, C138; AASHTO T23, T119, T152 or T196, T309, T121)Page 1 of 1 3348 Route 208, Campbell Hall, NY 10916 ■ Phone: 845-496-1600 ■ Fax: 845-496-1398 12960 Commerce Lake Dr #14, Ft Myers, FL 33913 ■ Phone: 239-204-4569 1813 State Route 7, Harpursville, NY 13787 ■ Phone: 607-235-2006 877 US-4, Schuylerville, NY 12871 ■ Phone: 518-372-4067 Report Reviewed By: Jack Harrison Mix Details Supplier Strength Cylinder Type Initial Curing Method Mix Design Pallette Stone Corp, Saratoga Springs 3000 PSI @ 28 Days 4 x 8 Cylinder Curing Box 35000 Project Specifications (Not Available At Time Of Testing) Structure Type Slump Slump w/MRWR Slump w/HRWR Air Content Unit Weight Mix Temp Maximum Mix Time Foundation Walls Placement Information Load Num. Truck Num. Ticket Num. Cubic Yards Total Yards Time Loaded Time Arrived Time Discharged Time Completed Slump Air Content Unit Weight Mix Temp Air Temp H20 Added Num Cyls Location 1 4907 863900 7 7 1:20 PM 1:41 PM 1:45 PM 2:13 PM 6.00 in.5.5 %57 °F 42 °F 6 Roadside Foundation Wall Pouring North to South 2 4907 863901 7 14 1:11 PM 2:10 PM 2:14 PM 2:36 PM Roadside Foundation Wall Pouring North to South Comments Both Trucks batch tickets had the same truck number listed for both loads. General Location of Work: 1471 State Route 9 Lake George commercial building foundation walls. Technician Signature:Date:Wednesday, January 10, 2024 ACT-CFI-1, Rev 2, 10/13/20The results identified in this report relate only to the items sampled/tested. No representation is made that materials or items not sampled and tested will produce the same or similar results. This report shall not be reproduced, except in full, without the prior written approval of Advance Testing Company.